连续性护理在膀胱癌腹壁造口术后病人护理中的应用  

Effect of Continuing Care on Bladder Cancer Patients after Abdominal Stoma Surgery

作　　者：蔺玉霞[1] 

机构地区：[1]济南市中心医院泌尿外科,山东济南250013

出　　处：《中外医疗》2015年第17期144-146,共3页China & Foreign Medical Treatment

摘　　要：目的观察分析连续性护理措施在膀胱癌腹壁造口术后病人护理中的护理效果。方法随机选取该院泌尿外科2012年4月—2014年4月期间接收进行腹壁造口术治疗的100例膀胱癌患者作为护理研究对象,根据术后护理方式的不同随机均分为两个护理小组,分别为对照组与观察组,对照组50例患者进行常规术后护理,观察组50例患者在常规护理的基础上加强连续性护理干预措施,观察对比两个护理小组患者的护理效果。结果观察组50例患者在术后自我监测、并发症预防、饮食知识以及造口袋更换等方面的医疗卫生知识掌握情况明显优于对照组,差异具有统计学意义(P<0.05);观察组患者术后经过护理日常生活能力与精神状态等Spitzer生存质量评分明显优于对照组,差异具有统计学意义(P<0.05);观察组患者护理满意度(100.00%)明显高于对照组(88.00%),差异具有统计学意义(P<0.05)。结论在膀胱癌患者腹壁造口术术后临床护理中在常规护理的基础上加强连续性护理干预措施能够有效保证患者术后的生活质量,可以提高患者术后的生活自理以及出院后的自护能力,提高康复效果,达到较高的护理满意度,因此具有临床推广应用的价值。Objective To observe and analyze the effect of continuing care on bladder cancer patients after abdominal stoma surgery.Methods 100 bladder cancer patients underwent abdominal stoma surgery in the Department of Urology of our hospital from April 2012 to April 2014 were selected as the subjects of this study.The patients were randomly and equally divided into two groups,the control group and the observation group in accordance with the postoperative nursing model given to them.50 cases in the control group were given the conventional postoperative nursing,while 50 cases in the observation group were given continuing care intervention based on the conventional nursing.And the nursing efficacy was observed and compared between the two groups.Results After surgery,compared with the patients in the control group,the 50 cases in the observation group were much better in grasping the health care knowledge about self-monitoring,prevention of complications,dietary knowledge,replacement of ostomy bag and so on with statistically significant difference（P〈0.05）.After postoperative nursing,the observation group had much better ADL,mental state,and Spitzer QOL scores than the control group（P〈0.05）.The nursing satisfaction of the observation group was obviously higher than that of the control group（100.00%vs 88.00%） with statistically significant difference（P〈0.05）.Conclusion For bladder cancer patients underwent abdominal ostomy,conventional nursing combined with continuing care intervention can effectively ensure the postoperative quality of life,improve the postoperative self-care ability and self-protection ability after discharge,enhance the level of rehabilitation with high nursing satisfaction,so it has the value of clinical application.

关 键 词：连续性护理 膀胱癌腹壁造口术 术后病人护理 

分 类 号：R473.73[医药卫生—护理学]